tci ED Coding & Reimbursement Alert - 2011 Issue 9

Reader Question: Not Every Pain in the Rear is a Pilonidal Cyst

Question: Can you help me with CPT® code assignment for this procedure? The chart note reads: Exam reveals an abscess on the buttocks. The skin overlying the abscess was cleaned with Betadine x 3, anesthetized with 1% 3 cc xylocaine with epinephrine. The abscess was incised with a 15 blade and was productive of purulent fluid. Approximately 2 cc of pus was expressed from the abscess. A wound culture was done. The wound was then explored sterilely with a hemostat. Idoform gauze was used to pack the wound and for drainage. EPB was minimal. A dressing was applied."...

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